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General NPI Number Information
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NPI Number | 1982622338
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Entity Type | Individual
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Provider Name | KARL DEHAAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1 INFINITY CORPORATE CENTRE DR SUITE 130
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-5369
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Country | US
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Telephone | 216-663-7064
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Fax | 216-663-8286
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Provider Business Mailing Address
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Address Line | 1 INFINITY CORPORATE CENTRE DR SUITE 130
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-5369
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Country | US
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Telephone | 216-663-7064
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Fax | 216-663-8286
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | AD6714732
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License Number State | OH
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